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Patient Access Representative (Assistant, I, II) Greens Multispecialty

Patient Access Representative (Assistant, I, II) Greens Multispecialty

Texas Medical CenterHouston, TX, US
14 days ago
Job type
  • Full-time
Job description

Patient Access Representative

UTHealth Houston - UT Physicians Greens Multispecialty is hiring a Patient Access Representative (Assistant, I, II) to join their team of professionals in North Houston. The ideal candidate would be familiar with the community and resources available for patients in North Houston and demonstrate community mindedness, with patient and employee focus, while being a fair, education-oriented team player and leader.

Preferences : Previous experience as a Patient Access Representative. Possible past experience within the UT / MH System or another system that uses Epic. Experience scheduling internal referrals using Epic Decision Tree processes. Experience with pre-authorizations, scheduling, and processing of external referrals. Experience with Availity and other payer websites and the process for verifying eligibility and authorizations. Experience with Medicaid and Medicare. Customer service excellence skill set.

Schedule : Monday - Friday, 8a - 5p, Saturday 8-12, with rotating extended hours from 7am - 7pm.

What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.

Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus :

  • 100% paid medical premiums for our full-time employees
  • Generous time off (holidays, preventative leave day, both vacation and sick time all of which equates to around 37-38 days per year)
  • The longer you stay, the more vacation you'll accrue!
  • Longevity Pay (Monthly payments after two years of service)
  • Build your future with our awesome retirement / pension plan!

We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work / life services such as...

  • Free financial and legal counseling
  • Free mental health counseling services
  • Gym membership discounts and access to wellness programs
  • Other employee discounts including entertainment, car rentals, cell phones, etc.
  • Resources for child and elder care
  • Plus many more!

    • Position Summary : Position assists in ensuring medical necessity compliance, verifying eligibility, and posting payments.

    Position Key Accountabilities :

  • Assists in obtaining demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
  • Explains all required forms to the patient or guarantor and obtains the necessary signatures.
  • Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
  • Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
  • Assists in verifying insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
  • Posts payments in the computer system and generates the appropriate patient receipts.
  • Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
  • Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
  • Promotes individual professional growth and development by meeting requirements for mandatory / continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
  • Performs other duties as assigned.

    • Certification / Skills :

  • Ability to multi-task.
  • Proficient typing / keyboarding skills.

    • Minimum Education : High School Diploma or equivalent required

    Minimum Experience : None

    Physical Requirements : Exerts up to 50 pounds of force occasionally and / or up to 20 pounds frequently and / or up to 10 pounds constantly to move objects.

    Security Sensitive : This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code 117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. 791.4.

    Veteran Information : Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to : 68G, 70E, 0808, 4A0X1.

    Residency Requirement : Employees must permanently reside and work in the State of Texas.

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